Active NPI
Stanley Keith Gilbert Jr., M.D.
- Orthopaedic Surgery Physician
- Fayetteville, NC
National Provider Identifier
1922072016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25025
- Practice address
- 4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563 - Phone
- (910) 484-2171
- Fax
- (910) 484-4568
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25025 | NC | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MD.207799 | LA |
Addresses
Primary practice location
4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Mailing address
4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2563
Phone (910) 484-2171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304484 | Medicaid | LA | |
| 8935462 | Medicaid | NC | |
| 08473255 | Medicaid | MS | |
| 35462 | Other | NC | BCBS INDIVIDUAL ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207799 | LA | MD | Orthopaedic Surgery Physician |
| 25025 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of North Carolina PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1780949032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1922072016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR",
"address_2": "SUITE 801",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142563",
"telephone_number": "910-484-2171",
"fax_number": "910-484-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR",
"address_2": "SUITE 801",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142563",
"telephone_number": "910-484-2171",
"fax_number": "910-484-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "STANLEY",
"middle_name": "KEITH",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "25025",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "MD.207799",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1304484",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8935462",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08473255",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL ID NUMBER",
"identifier": "35462",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.